Achankunju a Chacko MD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D20129 Issued in MD

Legal business name

ACHANKUNJU A CHACKO MD LLC

Practice address

7610 Carroll Ave
Suite 390
Takoma Park, MD 20912-6384

Phone

(301) 270-5522

Fax

(301) 270-4837

NPI assigned

May 20, 2011

Last updated

May 20, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Achankunju A Chacko, MDNPI 1508878414

Title

MD

Phone

(301) 270-5522

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Achankunju A Chacko, MD

  • Adult Medicine Physician
  • Takoma Park, MD
  • NPI 1508878414

  DC

  Medicare reassignment Authorized official
• Leela Andumaly Chacko, MD

  • Physical Medicine & Rehabilitation Physician
  • Washington, DC
  • NPI 1730108986
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1801189055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 390",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-270-5522",
            "fax_number": "301-270-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 390",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-270-5522",
            "fax_number": "301-270-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHANKUNJU A CHACKO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "ACHANKUNJU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-270-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D20129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7959214000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baharnesh Abudulahim
• Accessnow Home Healthcare Services
• Achu V Acha
• Erankline Acha, HHA
• Linda Acha
• Hilary Achu Achu
• Rosemary Acorda, CRNP
• Niv Ad, M.D.
• Margaret Addo
• Theodora Addu

• Clinic/Center in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.